NPI age
18 years
Enumerated 2008-02-14
● Active Type 2 · Organization
Subpart
Walgreen Co
Walgreen Co is 1 of 117 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
Manager
Last NPPES update
2023-11-01
Source: monthly bulk 2026-05
How this organization compares
Across 117 active pharmacy providers in Idaho.
NPI age
18 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 55% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-02Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
3263 N Eagle Rd
Meridian, ID 836465702
Mailing address
1901 E Voorhees St, MS 790
Danville, IL 618344509
Authorized official
Kira L Taylor
Manager
📞 2177092351
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Nicole Black Pharmacist NPI 1679161152
- Carrie Keller, PHARMD Pharmacist NPI 1528322484
- Lynn Longworth, RPH Pharmacist NPI 1750666996
- Heather Tiernan, PHARMD Pharmacist NPI 1871010272
Specialties
-
Pharmacy PrimaryA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
-
PharmacyA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 808022300 DME | |
| 01 (ID) | 1307859 | NCPDP |
| 05 (ID) | 807986400 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
WALGREENS #11452
-
WALGREENS #11452
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
Subpart of Walgreens Boots Alliance Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.